Claim total
$5,940.32
base $127.17 · payer covered $4,752.19
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2000-05-01
- Stop
- 2000-05-04
The parties
- Patient
- patient Sherman Eli Wehner
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3afc00a4-39f9-07a4-93fc-d56260448664